WIENER DOG RACES REGISTRATION

Racers Name and Age(required)

Address(required)

Email(required)

Phone #(required)

Race Division - COCKTAIL - UP to 3 years

Race Division - HOT DOG - 4-6 YRS

Race Division - FRANKFURTER - 7 yrs and OLDER

Race Division WANNA BE - Other Breeds up to, but not exceeding 25 lbs.

WAIVER AND RELEASE OF LIABILITY - Please type name and date in provided area -IN CONSIDERATION OF BEING PERMITTED TO PARTICIPATE IN THE 2018 BELLEVILLE OKTOBERFEST WIENER DOG RACE, I DO HERBY AGREE TO ITS RULES AND REGULATIONS AND HEREBY FOR MYSELF, MY HEIRS,EXECUTORS,ADMINISTRATORS, AND ASSIGNS DO HEREBY WAIVE,RELEASE AND DISCHARGE BELLEVILLE OKTOBERFEST WIENER DOG COMMITTEE, IT OFFICERS,DIRECTORS, SPONSORS, VOLUNTEERS, OR ANY OTHER PARTY FROM ANY AND ALL DAMAGES, DEATH, PERSONAL INJURY OR PROPERTY DAMAGE WHICH I MAY HAVE OR WHICH MAY SUBSEQUENTLY ACCRUE TO ME OR MY DOG AS A RESULT OF MY PARTICIPATION IN THIS EVENT. THIS RELEASE IS INTENDED TO DISCHARGE THE ABOVE-MENTIONED PARTIES FROM ANY AND ALL LIABILTY ARISING OUT OF OR IN CONNECTION IN ANY WAY WITH MY PARTICIPATION IN THIS EVENT EVEN THOUGH THAT LIABILITY MAY ARISE OUT OF NEGLIGENCE OR CARELESSNESS ON THE PART OF THE RELEASED PARTIES OR ENTITIES MENTIONED ABOVE. I CERTIFY THAT MY DOG IS PROPERLY VACINATED AND WILL PROVIDE PROOF OF CURRENT RABIES VACCINATION UPON REQUEST. I AGREE TO KEEP MY DOG ON LEASH AT ALL TIMES, WITH THE EXCEPTION OF SPECIFIC RACING TIMES. I WILL PERMIT FREE USE OF PICTURES OF ME OR MY DOG IN ALL TYPES OF MEDIA COVERAGE AND PROMOTIONS FOR THIS EVENT OR IN THE FUTURE. I, THE UNDERSIGNED, VERIFY THAT I HAVE READ AND WILL ABIDE BY ALL THE RULES AND REGULATIONS PERTINENT TO THIS EVENT, WAIVER AND RELEASE OF LIABILITY. I FURTHER VERIFY THAT I AM AT LEAST 18 YEARS OF AGE. I HAVE READ THIS RELEASE, FULLY UNDERSTAND IT, AND VOLUNTARILY ACCEPT ITS TERMS AND CONDITIONS. I UNDERSTAND THAT THIS RELEASE STATES THE ENTIRE AGREEMENT WITH THE RELEASED PARTIES OR ENTITIES MENTIONED ABOVE. (required)

PRE-REGISTRATION IS $8 per Dog

DEADLINE for Pre-Registration is Monday September 16, 2019 @ 5 p.m.

DAY OF RACE REGISTRATION IS $10 per dog

COSTUME CONTEST BEGINS @ 2 p.m. – Race will be held immediately following

TROPHIES PRESENTED FOR EACH DIVISION

Waiver and Release of Liability must be singed before pet can Race!

WIENER DOG RACES PRE-REGISTRATION

Pre-Registration for 39th Annual Belleville Oktoberfest's WIENER DOG RACES $8 per dog

$8.00

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